Organization Active NPI

Midamerica Cancer Care, LLC

  • Medical Oncology Physician
  • Kansas City, MO
National Provider Identifier
1942876487
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
MIDAMERICA CANCER CARE, LLC
Doing business as
MidAmerica Cancer Care, LLC
Practice address
1010 Carondelet Dr Ste 121
Kansas City, MO 64114-4859
Phone
(816) 912-2100
Fax
(636) 438-0430
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jaklynn Eastland
Title
Practice Manager
Phone
(816) 605-9756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

1010 Carondelet Dr Ste 121
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr Ste 121
Kansas City, MO 64114-4859
Phone (816) 912-2100

Other names 1

  • MidAmerica Cancer Care, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@maccsp.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6102 N Belt Hwy
Country Club, MO 64506

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1942876487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 121",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-912-2100",
            "fax_number": "636-438-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 121",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-912-2100",
            "fax_number": "636-438-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA CANCER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "EASTLAND",
        "authorized_official_first_name": "JAKLYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-605-9756",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@maccsp.com",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All Communication",
            "address_1": "1010 Carondelet Dr Ste 121",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641144859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MidAmerica Cancer Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.